HomeMy WebLinkAbout16 KUPCHUNOS DR 6/15/2021 .
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Plumbing Permit: PLMB-21-95
APPLICANT
NAME: Mark Motuzick
EMAIL ADDRESS: markmotuzick@gmail.com
ADDRESS: 210 Commerce Street 210 Commerce Street
Glastonbury ct, Glastonbury CT 06033
LOCATION
ADDRESS: 16 KUPCHUNOS DR
South Windsor CT 6074
OWNER: ALBANO JOHN J &SUSAN L
16 KUPCHUNOS DRIVE
SOUTH WINDSOR CT 6074
DESCRIPTION OF WORK:
Install approx. 12'3/4 pipe from underground propane storage tank to the pool heater
May 13, 2021
BUILDING OFFICIAL DATE SIGNED
—ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT—
PERMIT ONLY VALID IF SIGNED BY BUILDING OFFICIAL—
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT d --
APPROVE 1540 SULLIVAN AVENUE
Bldg. Permit
644-2511 ext. 230
Dat Buildi pector Ise /
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt. No.
APPLICANT J, J , i�
APPLICANT ADDRESS ;;?7 Lt e!^n r►^ �r _ __
t*r"' n �n ------
APPLICANT PHONE# g"r -.I -�z 3 e, C
1%0 N St OWNER ,9/Aa i) o
OWNER ADDRESS
Q
OWNER PHONE
C ESTIMATED COST$
xw
IS THIS A CONTRACT COST? Yes _No
�r 4 �s✓ FEE ENCLOSED$ n 0
TYPE OF JOB:
OSO R-C O New Installation
Alteration/Addition/Repair
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YES ❑ NO
❑ RESIDENTIAL
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑ INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION[W'HUNG METHOD
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
rj,h4
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO. :TYPE STATE
SIGNATURE OF APPLICANT DATE /
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PFRMIT PLAN
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N IYr♦ ►fhimisK.J •VQ i•Voi 1, ..a:Ct ^l I yirtrQbti _
!j At LOT #31 - RAINBOW 71T S`_"'.":°""`
PREPARED FOR U & RtmCONSTftUCTION •CO. ,''„I,l 'rt
rrtf t TOWN OF SOUTH WINE ' "'C_QNN.ECTICUT ' '+
SCALE: 1" 40'
N nj :APIZI 4E t�:f:1u' CCb: i0M1! E lii MJ'.._.L1
,� iv�� If• _ ..�"
O � N�� � �, Y• ' ' 'REFERENCE: Revision to Subdivision Rainbow Hills 'Town c
r r South Windsor '-Conn. Gardner & Peterson Associates 'Poll
•' `�' •' Connecticut Scale l " 40' Date 4/10/86
GARDNER & PETERSON ASSOCIATES , TOLLAND, CONNECTICUT
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TO THE IUMDR44 D"'PT. TOWN OF SOUTH W'%Di01
This certilird that this plan and specifiemions are tru,
.opies of the proposed building or alterations to b
rected at
--�C St:
logrther with arWendments stated in application
Mod with plan and I aer— to comply with all ZO:"
tSuliding and state 1,ws and s.ich orders as sh;a
issued by the Building Department d,�ring Pend-
of this application and final issuance of a bulld-
..rmit.
iPl�,
io approved sugul t to the Bondi ionshe tho
tin.incea regulating budding shall br
,r ved Those filed with
Apt -
{tullding Insp,ctor pork
South Windsor Q11111.1111 Nn � ��
BUILDING DEPARTMENT
CERTIFICATION Or ZONING COMPLiA.NCr
r'ropos�d bu;,:ding;s), use(s) and/or structure.
,.s shown on this plan app�--,-r(s) to be
onform nce with curren: C-:,, lih •
bulatio;lS. Vai iur,=, and Sp'. ..;.;:I CnCep_
nay apply.
Date y(XdiW —
g Ed3rcement
Officer
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MORTGAGE SURVEY
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LAT #31 - RAINBOW HILLS
I PREPARED FOR U & R OONSTRUCTION 00., INC.
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE: 1" - 40'
I hereby certify that the location of the building as shown
is substantially correct and that there are no zoning
violations of the same.
CLASS D
jr
3 DATE: September 11, 1986 L.S. #10839
o REFERENCE: Revision to Subdivision Rainbow Hills Town of South
Windsor Conn. Gardner & Peterson Associates Tolland, Connecticut
h Scale 1l' - 40' Date 5/31/85 Revisions 7/30/85 8/8/85 11/29/85
8-27-86
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kv\ srS'W' NOTICE
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Reproductions of this plan are invalid if they do
A ' S not bear the impression seal of the undersigned
►,�: tt'.! I ) ! tt. Land Surveyor and/or Professional Engineer.
S d�i7" °.a. °' �i}OL1C,I;fi1�t J;.' t�F e•
q GARDNER t3 PETERSON ASSOCIATES [AND SURVEYORS y 4
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TOCLAND,CONNfCTICUT OW/f ��� PROFESSIONAL ENO/VEERS
��t t'• ��li?jtt 2 '{fact. •
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W 2 91991
South wmsor
BUILDING DEPARTMENT
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TO THE $UILUM4 ULPT, TO4dll Or i-1
This eortIfled that lhle Alan and sDeoHIGAO"a ru^
ua®lea of the PfOPoaed building or a144W1u1t. tv pe
erected it
_/6 rv- fWP �S �1 � scree
to ,
gether with amendments stated In appllr, u,
,lied vJth plan and I ague to Comply with .41 o,. -
9uildinc+, and state laws and such orders as
ysued by ttie building Department during P r;„e nr•.:
,I this application and final Issuance of a ouildMp
permit.
Signed — � ,
,hie p eDA subject to the condition th^l
,,orders and ordinances regulating !wilding shall be
c-,rnphed with.
Condlllnnelly Approved These filed with
��" Clerk
Building lhapettM G
to
iirl4.:N110N OF LUN►►NG GUMr'Lihl4L-
� roposed bullding(s), use(s) and/or structure(c'
as shown on this plan appear(s) to be it;
� z conformance with current South Winds,-
regulations. Variances and special exceptiont.
r , may apply.
t���i� Z�, ►1°I 1
Date
_ - �1 ((,
L::VnIn—gEnforcement Officer
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33 MORTGAGE SURVEY
i
LOT #31 - RAINBOW HILLS
PREPARED FOR U & R CONSTRUCTION CO. , INC.
TOWN OF SOUTH WINDSOR, CONNECTICUT
�t SCALE: 1" = 40'
I hereby certify that the location of the building as shown
is substantially correct and that there are no zoning
violations of the same.
' CLASS D
1
3
3 DATE: September 11, �1986 L.S. #10839
igz•c. 3 o REFERENCE: Revision to Subdivision Rainbow Hills Town of South
Windsor, Conn. Gardner & Peterson Associates Tolland, Connecticut
i
Scale 1" = 40' Date 5/31/85 Revisions 7/30/85 8/8/85 11/29/85 8-27-86
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\ ` �' NOTICE
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Reproductions of this plan are invalid if they do
�O \
J $ not bear the impressicn seal of the undersigned
A ,
Land Surve or and/or Professions(,Engin
eer.
cc�>.
q GARDNER & P LAND SURVEYOR J
ETERSON ASSOCIATES s -
TOLLAND, CONNECT/CUT OSM PROFESSIONAL ENOWEERS
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TO ME 3_L':.1
Ihlseertl I d t•. t t Is cl" and st`•o{fw tins Ire true
.7oplcs of the pr y,s d b'iilding or attentions to be
tic-th".r M 'h ar'.�' I' +-d In -C+t••..tom^t: dr+tt
ided .,th •-r t. InB.
9uildl,1; t +s d r r •t• b
•ssr!Fd i" L a �•I rt .1 r ncy
)t tris •p,, �.tl.r z.d fin_I 1,, I cc It vdtng
Dermrt.
Stgned
rhis pl.n t: d It, t t c" it that
ord"fi arc; 4 s I bo
Don.pl r,C 1
.:ondrttou.,y -wvr.v�d ih••s� iJ .th
Suildtng Insp.ctor Clerk
Data No. Lfj:2,2/
APPLICATION FOR PLUMBING PERMIT (continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL BUILDING PERMIT APPLICATION?,k YES ❑NO
❑BUSINESS CURRENT USE AND OCCUPANCY 1•^�
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION SIZE OF MAIN DRAIN j
NO.OF TOILETS STYLE EI '' q NO.URINALS STYLE
NO.OF BATHTUBS J v LZ NO.OF SHOWERS r NO.OF LAVATORIES
NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE
AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS
NO.OF OTHER FIXTURES KIND
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW 4d YES ❑NO
SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK
SIZE OF WATER MAIN 1-i SIZE OF WATER PIPING&RISER
WATER HEATER: TYPE MANUFACTURER
[D1ESCRIPnTIO7N OF WORK T
(ri Nrv1 M^�.7ICR P.A�N���M I Nt.✓ Lwr ( JACZLI
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND ISI 0
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE l 2'3 —0 7
evts
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT#.
Application is hereby: TOWN OF SOUTH WINDSOR �3
BUILDING DEPARTMENT
APPROV D 1540 SULLIVAN AVENUE
644-2511 ext. 230 BIOI a_3
Date Ong Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
� v
F=TenantDesignation
k$0-$1,000=$15.00 Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Apt.No.
All Plu Repair,Inc. APPLICANT �I ke MARANa►ti
P.O. x 853 APPLICANT ADDRESS D n
91
P.O.
Inc
Touand, CT 06084-M3 Tdww, CT 06084 5.E
APPLICANT PHONE#
OW N S t4 OWNER —J7�L,n� :i v c
OWNER ADDRESS l 6 v iv o
r j l�.y''t J y l I ✓ VJ�iy�1 riC �� � h ��
OWNER PHONE
C ESTIMATED COST$ 0
xIS THIS A CONTRACT COST? 2:� Yes _No
J�
'A& FEE ENCLOSED$ 1 5 1
r/VOS - O�� TYPE OF JOB:
OR-C New Installation
_Alteration/Addition/Repair
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
•f-30123-B 100,000
BO1 FOOTING 11/15/06 MR A PIER HOLES FOR FRONT PORCH
B04 INSULATION O1/31/07 MR A INTERIOR PARTITION ON 1ST FLOOR(EXISTING WALL
B03 FRAMING (ROUGH) 02/06/07 MR D INADEQUATE NAILS FOR TRAY CEILING MEMBER
E03 ROUGH 02/06/07 MR A
P03 ROUGH 02/06/07 MR A PRESS TEST RG. PLBG WASTE/VENTS-OK, PRESS
TEST ON WATER PIPES-OK NEED PLATES ON STUDS
P03 ROUGH 02/07/07 MR A RECHECK NAIL PLATES
B03 FRAMING (ROUGH) 02/07/07 MR A RECHECK
B04 INSULATION 02/23/07 MR A
E02 UNDERGROUND O1/30/07 CJD A
E03 ROUGH O1/30/07 CJD A
B10 FINAL 07/07/08 CJD A
Electric# aOG APPLICATION FOR BUILDING PERMIT
Plumbing# /35'�� 16 Kupchunos Drive Date: /0-1)9- ® 6
HVAC #
Sprinkler# 30123
FINAL APPROVALS �------- --- ---- --_- —� Estimated Cost $ d
Building '2 COMPLETE RED BOXED AREAS Permit Fee $
Engineering TYPE OR PRINT ONLY Occupancy Fee $ lu.
Affidavit Eng. Insp. Fee $
Appr. for C _ SIGN ON REVERSE SIDE , Total Fee $
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following: C 1�I�.o J/ 7
Applicant t( p u.L S Location of Work ti� Lot No.
Applicant's Address nucckfl Tel.#
Town Irl 11,1oZip Lic.#
Owner wwo Architect S
Own e 's Address /6 ��u�c �vs Dt; Architect's Address
tNi 4,< (`c Zip 060 1 Zip
Sq. Ft. New Area: 1 st FI./O ! 2nd FI._ _3rd Fl. Total New Area
Purpose of this permit O adK A [143V5 4 a^d r-fc e,+
City Water�i' Well❑ Septic System❑ Sewe
Ins: HO SP Cert. Area Basem Garage
Approved by Date Use Groupenstr Couction Type
Revised 6/02
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be to ted the Tnd
r distance from all street lines,side yard lines,and required
distances from all other zones and is located in w i this buildi its use is allowed
Sign — (
I hereby apply for a Certificate of Occ p cy for e k described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl ,
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-30084-B 7,000
B01 FOOTING 10/27/06 CJD A
B10 FINAL 07/07/08 CJD A
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupan y for the work described in this application for the permit.
Signed
DO OT RITE BELOW THIS LINE
INSPECTION COMMENTS
Electric #+ APPLICATION FOR BUILDING PERMIT
PHVACi## 16 Kupchunos Drive Date:
Sprinkler# 30084
FINAL AP OV ---F1000"' SIGN
----- --- ---- -- -- --- - Estimated Cost $ �—
,p — - -, Permit Fee $Building 'v oPLETE RED BOXED AREASEngineering TYPE OR PRINT ONLY Eng.Insp. Feancy e $
Affidavit ON REVERSE SIDE
Appr. for CO. - _ Total Fee $
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant c(�Je. OftaytiliD,% INS, Location of Work 16 - ,) C kono S Lot No.
Applicant's Address cr Tel.# &60 6511 - 7a-11
Town-F f 10,g too CT Zip No �q Lic.# -7 7q it,
Owner 'j ,To IN n A i 6 a xo Architect
Owner's Address it kupclwnoS Dr Architect's Address
S. wl1cS.,r CT Zip 06 OA —
Zip--Sq. Ft. New Area: 1st FI. /0 13 2nd FI. 3rd FI. Total New Area
Purpose of this permit
City Water Well❑ Septic System❑ SeweW
Ins: HO Cert. Area Basement Garage
Approved by Date I n 01n Use Gro Construction Type
Revised W02
CW N SE,
Scu� 7()&U&01t
CO , I
s� C, 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074
'��SOR•C�ar TELEPHONE(860) 644-2511
CERTIFIED MAIL November 14,2006
Converse Renovations
11 Overhill Road
Ellington, CT 06029
I
RE: Appl. #06-51 W, Converse Renovations, 16 Kupchunos Drive,AA-30 Residential Zone
Dear Sirs:
The Inland Wetlands Agency/Conservation Commission,through staff has approved minimum impact
application#06-51 W-Converse Renovations, 16 Kupchunos Drive Minimal Impact Application. Inland
Wetland/Conservation Commission minimal impact application for the construction of a landscape berm
within the upland review area(Assessor's Map#64,parcel#9). This approval is subject to the following
conditions:
1. The application shall indemnify and hold harmless the Town of South Windsor against any liability,
which might result from the proposed operation or use.
2. The permit is valid for five years and shall expire on November 14,2011. It is the
landowner(s)/applicant(s)responsibility to track expiration dates and notify the Commission of a
renewal request at least 65 days prior to expiration.
3. Perimeter erosion controls must be erected to contain migrating sediments.
4. All additional approvals required must be obtained and submitted prior to any activity on the site.
5. The applicant shall cause notice of the decision to be published in a daily newspaper having a
general circulation in the Town. The notice must be published within ten(10)days of the receipt
of the decision. The applicant must notify the Planning office of the date of publication and
fax or mail a copy of the published legal notice. Appeal of this decision may be brought to the
Agency within fifteen(15)days after the publication date of the notice.
Very truly yours,
�,&-
Jeffrey H. Folger,Environmental Planner
INLAND WETLANDS AGENCY/
CONSERVATION COMMISSION
cc: Inland Wetland/Conservation Commission
Director of Planning
Chief Building Official
I
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: toa,
BUILDING DEPARTMENT
APPROVED,, 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
Date Buil or
Application must be printed or typed
FEE SCHEDULE rr Location of Job:
f r /JC.kgrl uS d ) ��
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT P a- t e a t
APPLICANT ADDRESS 9 Y
we-s .T 144y-7 ,ro 2:�j c) o
APPLICANT PHONE# Co %1 S 3 ' Cy l I
OW N 8 f OWNER �S"V, U
q< OWNER ADDRESS _1 I� h��D CG o r,-S
� OWNER PHONE
C ESTIMATED COST$ A Sys UDD �
* IS THIS A CONTRACT COST? �'Z',-/--Yes No
FEE ENCLOSED$ t
1� TYPE OF JOB: (3�y
OR-Cod New Installation
_Alteration/Addition/Repair
.�3
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE.OF SYSTEM: TYPE OF BUILDING:
C&HEATING >-RESIDENTIAL
�tlA/C ❑COMMERCIAL
❑VENTILATION ❑INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
QaHYDRONIC U-WARM AIR ❑UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE Q OF INSIDE rl 2, OF DIFFERENCE °7 2 OF
TOTAL HEAT LOSS(BTUH) T(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY(INPUT-BTUH) //U, f"NET RATING(OUTPUT-BTUH) Z�
TYPE OF FUEL
l OIL--GPM /G OIL TANK LOCATION :❑ INSIDE❑OUTSIDE CAPACITY
❑GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE 9 ,5 OF INSIDE'v2 OF DIFFERENCE ,--;C, OF
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT(INCL ING MAKE&MODEL NO.)
,,
�Melt.cZv� Su.a CI a.2.� � 7Li.l � p cQ-A C0q)c-`�
TONNAGE COOLING CAPACITY(BTUH)
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM)
(PLANS MUST ACCOMPANY APPLICATION)
FURTHER DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO. TYPE 7 STATE
SIGNATURE OF APPLIC _ DATE o` C
1
10
Barri-eau, Off C0: iaPa,nyJNC.
.James- B. O`Toole Co.
.PLUMBING._•. HEATING *- A/C • FUEL
P-1 203491 - 5-1. 303113
Date:
�.
To'Local Buildi4g.Officials:
.This.letter.provides Mr. Dave 1VMatterazzo, of. Bdrrieau Oil
Com any, -Inc. with my,permission to,take out a.P1umbing and
Heating permit on-my behalf
Robert Barrieau
President
94 Reed Avenue West Hartford, CT 06110 Tel (860).953=6111 * Fax ($60) 953-107. '
y
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPROV D _ 1540 SULLIVAN AVENUE
l 644-2511 ext. 230 Bldg. Permit#
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Lo tion of Job:
[Tenant
o ���►� o ,�as$0-$1,000=$15.00 o. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Designation Apt.No.
APPLICANTn���
APPLICANT ADDRESS C�� / (�Y1 42tt1fo-o. S —
(��ST
APPLICANT PHONE# -CO 5 /
O W N S 4. OWNER
OWNER ADDRESS
OWNER PHONE
C ESTIMATED COST$ S00,06
IS THIS A CONTRACT COST? —/Yes _No
l� o �G FEE ENCLOSED$_ 5
f�OSO. Co TYPE OF JOB:
R pZNew Installation
_Alteration/Addition/Repair
Revised 4/01/n002
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APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YES ❑NO
❑RESIDENTIAL
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION SIZE OF MAIN DRAIN
NO.OF TOILETS STYLE NO.URINALS STYLE
NO.OF BATHTUBS NO.OF SHOWERS NO. OF LAVATORIES
NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE
AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS
NO.OF OTHER FIXTURES KIND
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YES ❑NO
SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER
WATER HEATER: TYPE MANUFACTURER
DESCRIPTION OF WORK
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THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT To PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
= P i t (117
CONTRACTORS LICENSE NO. YPE STATE
SIGNATURE OF APPLICANT DATE �dQ
j(BEf41ERS,jj
Distributors of Propane, Petroleum Products, 8 Industrial Gases
Date:
aoo
Gentlemen:
This letter is my authorization for Sheila Greenbaum to secure a building/zoning permit for work
to be performed at the following address:
The License Holder is: Bruce J. Berner
The License Number is: 307280
�o1�n I��,`�CcXlo
I 1p Roe kov"os L)()--
S o Faso 1' C_- 7
ly,
ruse J. Berner
President
BEMER PETROLEUM CORPORATION
210 Commerce Street, Glastonbury,CT 06033 - Tel. (860)659-3515 • Fax(860)659-4326
CT License No.: 307280
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MAY-07-2007 11:20 From: To:8605700563 P.2/4
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6/15/2021
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Town of South Windsor Building Department
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Plumbing Permit: PLMB-21-95
APPLICANT
NAME: Mark Motuzick
EMAIL ADDRESS: markmotuzick@gmail.com
ADDRESS: 210 Commerce Street 210 Commerce Street
Glastonbury ct, Glastonbury CT 06033
LOCATION
ADDRESS: 16 KUPCHUNOS DR
South Windsor CT 6074
OWNER: ALBANO JOHN J &SUSAN L
16 KUPCHUNOS DRIVE
SOUTH WINDSOR CT 6074
DESCRIPTION OF WORK:
Install approx. 12'3/4 pipe from underground propane storage tank to the pool heater
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May 13, 2021
BUILDING OFFICIAL DATE SIGNED
—ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT—
PERMIT ONLY VALID IF SIGNED BY BUILDING OFFICIAL—
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'0 33 MORTGAGE SURVEY
LOT #31 - RAINBOW HILLS
PREPARED FOR U & R CONSTRUCTION CO. , INC.
x TOWN OF- SOUTH WINDSOR, CONNECTICUT
SCALE: 111 = 40'
I hereby certify that the location of the building as shown
is substantially correct and that there are no zoning
violations of the same.
CLASS D
3 DATE: September 11, 1986 L.S. #10839
�,z•� 3 o REFERENCE: Revision to, Subdivision Rainbow Hills Town of South
Windsor Conn: Gardner.& Peterson Associates Tolland, Connecticut
f. Scale 1" = 40' Date 5/31/85 Revisions 7/30/85 8/8/85 11/29/85
8-27-86a
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�s' NOTICE
Reproductions of this plan are invalid if they do sm
M
A not bear the impression seal of the undersigned
RCg� ,e, Land Surveyor and(or Professional, Engineer.
y�i
q GARDNER Et PETERSON ASSOCIATES LAND SURVEYORS Z`,4
TOLLAND, CONNECTICUT 00" PROFESSIONAL ENGINEERS
OCT 0 6 Z000"
South Windsor
BUILDING DEPARTMENT
TO THE EL'ILD4jG V pr. TCtV,y
this certifiedCF S�JTH Yr!A+J�V�
that this Plan and sPeeifieetions are tru•
eopllt-s at the ProPosod building or alterations to be
1(0 5L v,( ,��5 j'�►�
tcg^iher wtih amendments Street
:'led with Pl..n an, stated in applltatiun and
it i I agree to eor-Ply with all zoning,
8 and st'�te laws and such or ,^.,:ed try toe GI Itdir.g Oe erimenf d�„s ea shalt be
thta aPPhca•�n and fi 8 Dbndding J
rmit. I issuance Of a building /
Pt}n Ia .:pprrvEd .:blect to
rs srd orCfn�r,ees the condttlon that
rggala:,n,l building Ihall be
oGa.or.ally A;Proved
These filed with
E...h,..g i"SPector
Clary ( �1
No!�21 ��""t��
CERTIFICATION OF ZONING COMPLIANCE
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